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HomeMy WebLinkAboutSWG2021-00047 CANCELED - SWG Inactive - 1/28/2021 415 N BTH STREET,SHELTON.WA 985M MASON COUNTY SHELTON:360427-9670,EXT 400 COMMUNITY SERVICES BE ELMA:360482-5269,EXT 400 ELMA:380d82-5269,EXT 600 K—" FnrironmenulMmI&C.—i,..IIF FAX:360427-7787 ENVIRONMENTAL HEALTH REVIEW OF OSS APPLICATION ROBERT & MARTY ANN DEXTER 950 E DANIELS RD SHELTON, WA 98584 Applicant: ROBERT&MARTY ANN DEXTER Parcel Owner: ROBERT& MARTY ANN DEXTER Site Address: 950 E DANIELS RD Primary Parcel Number: 320105101001 OSS Permit Number: SWG2021-00047 Permit Description: new 3br sfr-Glendon Biofilter Permit Submitted Date: 01/28/2021 Permit Review Dale: 02/02/20211 The above me ' d.On ' wage System Application was reviewed by Environmental Health and found more i on is required. CuEst"gVer-c� er requested cancellation of the permit. terns let Wj Sincerely, Jeff Wilmoth 360.427-9670 Ext.543 jwilmoth@co.mason.wa.us OFFICIAL USE ONLY MASON COUNTY PUBLIC HEALTH R RYED I _ ,a to D ONSITE SEWAGE SYSTEM APPLICATION M D EEEENW RKFMFD M m Do 415 N 6th SINK*98) Shelton WA,99584 ITT 0 N Shelton:36W779670NB400 &If9iD3fibD5-0467&R/00 SWG aoa► - 5 p Ul 9 APPLICANT PIUIE D D ROBERT & MARTY ANN DEXTER 360-584 4210 m m MAILING ADDRESS-STREET,CRY,STATE.ZIP CODE r 950 E DANIELS RD SHELTON WA 84 m 3 SITE ADDRESS-STREET CRY,ZIP CODE D m 950 E DANIELS RD SHELTON WA 98584 x z NAME OF OESKI ER PHO E G I(AJ Jim Henry 360-507-1267 NAMECE INSTALLER P-- G I N m CXECKALLAPPLIWBLE REMS OMI4'JNG WATEN SOUflCE J f Ep NEWCONSTRUCTION E3 RV HOLDING TANK ONLY LT PRIVATE INDIVIDUAL L f/1 ❑ REPLACEMENTSYSTEM O INSTALLATION PERMIT ONLY O PRIVATETAriPAR LL 0 ❑ TABLE 9 REPAIR if SINGLE FAMILY O COMMUNITY/PU MRTER SYSTEM = IO O TANK(S)ONLY O COMMERCIAL SYSTEM N I L O UPGRADE TO METING ❑ OTHER: BEDROOMS LOTSNE O EXISTING FAILURE 35 m OIRECTNNISTO SITE-BE BPECIFICANOAONSE OFANY NEECEDINzj��211HO�S INTX iE3T M01£NUMBER$ 0y� I oI0 SITEMUSTSEFLAGGEDFRMMAIMRAGGEG OF L USEONLY BELOWTHIS LINE UPGRADE/FALURE SOURCE Ta n WN"M) OVOLUNTARY OMAINTENANCE4PUMPING ILDINGPERMIT OHOMESALE OCOMPLAINT OOTHEF: INSPECTORSOLLOGS COMMFMS/CCNtlTOMS IvI L 1T 4 n 00C--'1 V=VERY G VELLY S=SAND L=LOAM &=SILT C=CLAY E=EXTREMELY R=ROOTS INSPECTO IGMTURE MTE APR 1014 EXPIRATION DATE PFFIICATgNAWROYFD BV LATF THI ORM MY BE SCANNEDAND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REMSE01W=15 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 3 2 0 1 0 — 5 1 — 0 1 0 0 1 A design will be reviewed when 3 copies of each of the following are submitted: •Completed design form that has been signed and dated. "Scaled layout sketch,including all applicable items on checklist •Scaled plot plan,including all applicable items on checklist. I Cross-section sketch, including all applicable items on checklist. This farm mrs,be wooed and avaibbb for Mic view on the Ma son County Web site.Mnrimum race: IVXIV L IDENTIFICATION.. Permit Number: SWGaCQI - tx0�7 Designer's Name: JIM HENRY .41 Applicant's Name: ROBERT B MARTY ANN DEXTEF Designer's Phone Number: 360-507-1267 Mailing Address: 950 E DANIELS RD Designer's Address: PO BOX 14531 SHELTON WA 98594 TUMWATER 98511 city Suite zip city zip Treatment Device IF G(Glendon Biofilier ❑Send Filter ❑Mound ❑Sand Lined Drainfield ❑ RecirculatinXR[Wype: ❑Aerobic Unit Make/Mdel ❑Disinfection Unit Make/Modei Drainfield Type ❑Gravity ❑Pressure ❑Trench ❑B ❑Sub Surface Drip Septic Tank/Drainfield Specifications Laterals NumberofBedrooms 3 Schedule/C NA Daily Flow:Operating Capacity 270 gpd Length ft Daily Flow:Design Flow 360 gpd Die er in Septic Tank Capacity 1000 gal ber Receiving Soil Type(1-6) 4 epamtion ft Receiving Soil Appl.Rate .6 gpd/ Orifices Required Primary Area 600 Total Number of Orifices NA Designed Primary Area 695.52 3 Diameter in Designed Reserve Area / ftr Spacing in Trenched Width NA ft Manifold Trench/Bed Length ft Schedule/Class 40 Elevation Measure is Length 128 it Original Drainfield Area Slope % Diameter 1 in New Slope,If Altered (J % Preferred manifold configuration used? UrYcs O No Depth of Excavation up -since in Transport Pipe from Original Grade Dn pe 67 in Schedule/Class 40 Designed Vertical Sep n 20 in Length 110 it Gravelless Chambers quired? ❑Yes l l No ❑Optional Diameter 1 in Pump Required? lif Yes O No Dosing and Pump Chamber mp/Siphon Specifications Number ofdoses/day PER GLENDON Difference in vation Between Pump Shutoff and Uppermost Dose quantity gal Orifice ft Chamber Capacity 1000 gal Uppermos ifice O Higher O Lower than Pump Shumff Pump controls:Please check those required. Capacity otal Pressure Head gpm OTimer ❑Elapse Meter ❑Event Counter Calculated Total Pressure Head it If Timer. Pump on PER GLENDON Pump off Comments DESIGN FORM—PAGE TWO Assessor's Parcel Number: 3 2 0 1 0 — 5 1 -- 0 1 0 0 1 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch d Test hole locations 19 Drainfield orientation and layout Reference depth from original grade: Soil logs ❑ Trench/bed dimensions and d Septic tank It Property lines critical distances within layout EX Drainfield cover 9 Existing and proposed wells E9 D-Box/Valve box locations Reference depth from original grade within 100 ft of property d Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations Laterals,trench bed,top and surface water and critical areas ❑ Observation port location bottom ❑ Location and orientation of E6 Clean-out location ❑ Curtain drain collector curtain drain and all absorption d Manifold placement ❑ Sand augmentation components ❑ Orifice placement Other cross-section detail: E� Location and dimension of ❑ Lateral placement with distance ❑ Observation ports/clean-outs primary system and reserve area to edge of bed Buildings Other Information d Audible/visual alarm referenced Yes No ❑ Direction of slope indicator ❑ Scale of drawing shown on scale Design d ❑ staked out 9 Waterlines bar ❑ ❑Recorded Notices attached Ib Roads,easements,driveways, ❑ ❑ Waiver(s)attached parking ❑ ❑ Pump curve attached B) North arrow and scale drawing ❑ ❑ Evaluation of failure shown on scale bar Non-residential justification ❑ ❑ Waste strength ❑ ❑ Flow DF�ICN kPPR0N'kL the undersigned designer must be notified by installer at time of installation Yes ❑ No t-2r-Z.l Signature of Defigner Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local on-site regulations: Environmental Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: ✓ Drainfield site conditions have not been altered to adversely affect conditions of design approval. Please Note: The system must be installed by a certified installer, unless prior authorization is obtained from Mason County Public Health. An Installation Fee is required. This form may be scanned and available for public view on the Mason County Web site. Updated Date: 12/7/2015 | 6 { ) � ) ^ ( ) ( � : \ § / ® k » } , . § ; , r § , ) q / / ! ! � ■ ` . � � § § \ ■ � � { ! ! � � d t q o \ ,. ` 52 \ \) � all 00 / O \ \ \ 00� . 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